Jenny Elizabeth Marder, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018905 Issued in IL

Practice address

1622 W Agave LN
Green Valley, AZ 85622-3278

Phone

(217) 741-7665

NPI assigned

Feb 21, 2011

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jennifer Elizabeth Marder Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1598062994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 W AGAVE LN",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223278",
            "telephone_number": "217-741-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 W AGAVE LN",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223278",
            "telephone_number": "217-741-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDER",
        "first_name": "JENNY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018905",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MARDER",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Estabraq Shakir Mahmood, PHARMACIST
• Natalia I Makarova, DMD
• Angelica Marie Maldonado, PT, DPT
• Nicholas E Mancuso, DMD
• Richard D Manuel, HIS HEARING INSTRUME
• Steven Maron, MD
• Morgan Elise Marquez, OD
• Tamera Martens, LAAC
• Gaylene Marvin, LMT
• Joyce Girard Masters, DPT

• Clinical Social Worker in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.